不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Preclinical characterization of WB737, a potent and selective STAT3 inhibitor, in natural killer/T-cell lymphoma.
Preclinical characterization of WB737, a potent and selective STAT3 inhibitor, in natural killer/T-cell lymphoma.
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自然杀伤/T细胞淋巴瘤(NKTL)是一种少见的恶性肿瘤,预后差且治疗选择有限。在NKTL患者中经常发现信号转导和转录激活因子3(STAT3)的激活突变,提示靶向抑制STAT3是该疾病的潜在治疗选择。
在此,我们开发了一种小分子药物WB737,作为一种新型强效STAT3抑制剂,其以高亲和力直接结合STAT3的Src同源2结构域。
此外,WB737与STAT3的结合亲和力比STAT1和STAT2高250倍。有趣的是,与Stattic相比,WB737在生长抑制和凋亡诱导方面对携带STAT3激活突变的NKTL更具选择性。在机制上,WB737分别通过抑制STAT3在Tyr705和Ser727位点的磷酸化,抑制经典和非经典STAT3信号通路,从而抑制c-Myc和线粒体相关基因的表达。
此外,WB737对STAT3的抑制作用比Stattic更强,在携带STAT3激活突变的NKTL异种移植模型中产生了显著的抗肿瘤效果且未检测到毒性,随后肿瘤几乎完全消退。
综上所述,这些发现为WB737作为一种治疗携带STAT3激活突变的NKTL患者的新型治疗策略提供了临床前概念验证。
Natural killer/T-cell lymphoma (NKTL) is an uncommon malignancy with poor prognosis and limited therapeutic options. Activating mutations of signal transducer and activator of transcription 3 (STAT3) are frequently found in patients with NKTL, suggesting that targeted inhibition of STAT3 is a potential therapeutic option for this disease.
Here, we have developed a small molecule drug WB737 as a novel and potent STAT3 inhibitor that directly binds to the STAT3-Src homology 2 domain with high affinity.
In addition, the binding affinity of WB737 to STAT3 is 250-fold higher than STAT1 and STAT2. Interestingly, WB737 is more selective for NKTL with STAT3 -activating mutations in terms of growth inhibition and apoptotic induction when compared with Stattic.
Mechanistically, WB737 inhibits both canonical and noncanonical STAT3 signaling via suppression of STAT3 phosphorylation at Tyr705 and Ser727, respectively, thereby inhibiting the expression of c-Myc and mitochondria-related genes.
Moreover, WB737 inhibited STAT3 more potently than Stattic, resulting in a significant antitumor effect with undetectable toxicity, followed by almost complete tumor regression in an NKTL xenograft model harboring a STAT3 -activating mutation. Taken together, these findings provide preclinical proof-of-concept for WB737 as a novel therapeutic strategy for the treatment of NKTL patients with STAT3 -activating mutations.
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